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NCT Number: NCT07147933

Effect of Treatment on Cerebral Palsy Patient With Crouch Gait Associated With Anterior Pelvic Tilt and Soleus Muscle Weakness"Marouf Syndrome", and Muscle Assesment by Using EMG

Children with cerebral palsy (CP) often develop gait abnormalities, with crouch gait being a common and challenging issue that affects their posture and daily function. Numerous studies indicate that crouch gait is primarily caused by hamstring tightness and quadriceps weakness. Traditional treatment approaches focus on hamstring stretching and quadriceps strengthening exercises to improve gait patterns. highlight the importance of strengthening muscles like the quadriceps and stretching tight muscles such as the hamstrings in improving gait abnormalities source.

Despite these common treatments, results often fall short of achieving full correction of crouch gait. Therefore, I propose a novel approach to treating abnormal gait in children with CP by targeting the anterior pelvic tilt and strengthening the soleus muscle. This approach aims to address biomechanical factors that are not typically considered in traditional treatments, potentially leading to better functional outcomes

we use Surface EMG to record activity of key muscle (soleus) during Seated Calf Raises exercise Muscle activity will be recorded before and after a series of physical therapy sessions focused on pelvic alignment and soleus strengthening.

EMG Data Analysis: Root Mean Square (RMS), timing of activation, and amplitude changes will be assessed.

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Key information

Age range

4 year–10 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Queen Rania AL Abdullah hospital for children

Amman, Jordan

Location status: Recruiting

Location contact

Ahmed Yasser Mostafa Marouf, Bachelor's of Physical Therapy

CONTACT

[email protected]

01026913232

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

patient with cp have a crouch gait. ages from 4 to 10 years . have a anterior pelvic tilt . muscle weakness (Soleus) on EMG.

  • BMI from 18.5 to 21..
  • didn't submit to Selective Dorsal Rhizotomy surgery.

Exclusion criteria

have a posterior pelvic tilt.

-above 10 or below 4 years. not able to walk. . submitted to SDR surgery. BMI above 21 or below 18.5.

Treatment and study plan

phusical therapy program

Other

physical therapy program including stretching of the hamstrings and strengthening of the quadriceps only. The program will be delivered 3 times per week for 8 weeks under therapist supervisio

physical therapy program

Other

A targeted physical therapy program including correction of anterior pelvic tilt, strengthening of the soleus, core strengthening, stretching of the hamstrings, and strengthening of the quadriceps. The program will be delivered 3 times per week for 8 weeks under therapist supervision.

Primary outcomes

  1. EMG and we calculate RMS for soleus muscle

    Time frame: the primary outcome measures by using EMG before treatment paln and after 8 weeks

Secondary outcomes

  1. step length

    Time frame: before treatment plan and after 8 weeks

  2. step wedth

    Time frame: before treatment plan and after 8 weeks

Study contacts

Contact information is provided by the study sponsor or research team.

Ahmed Yasser Mostafa Marouf, bachelor's physical thrapy

CONTACT

[email protected]

+201026913232

Sponsors and collaborators

Lead sponsor

Philadelphia University, Jordan

Other

Registry information

Official study title

Physical Therapy Protocol for Crouch Gait Associated to the Anterior Pelvic Tilt and Soleus Muscle Weakness in CP Patient

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Aug 29, 2025
Registry last updated
Jan 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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